| NPI | 1487662060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 47166-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101234004) |
| 207V00000X Obstetrics & Gynecology (Licence: IA 43101) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-10-07 |