| NPI | 1477547412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 30931) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 30931) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-10-25 |