| NPI | 1407471667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO 2024028471) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020016418) |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2024-08-07 |