| NPI | 1457471880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 11254) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 4301085646) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-04-29 |