| NPI | 1487825253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-02243) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 24606) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2021-03-16 |