| NPI | 1366676231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-03056) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 069312) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 83721) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2022-02-22 |