| NPI | 1467891051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 1701) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL1701) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-02-21 |