| NPI | 1497054399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.207472) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 262718) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2019-08-05 |