| NPI | 1477012623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 076156) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 1.075005-RES) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-12-14 |