| NPI | 1467418673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-00767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS8107) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-05-20 |