| NPI | 1477754869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 51548) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 122103) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-12-11 |