| NPI | 1487637617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 45361) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 89179) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-06-07 |