| NPI | 1477817013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-02009) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2014-02009) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2014-02009) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2020-06-23 |