| NPI | 1477744159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-01343) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 66910) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2023-02-15 |