| NPI | 1366891400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 157611) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 65244) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 267592) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-08-10 |