| NPI | 1457910069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 95718) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 11073) |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2023-08-25 |