| NPI | 1487279642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 25585) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020016220) |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2024-06-03 |