| NPI | 1376771881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 8907) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2009016979) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-03-25 |