| NPI | 1497195903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 87143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 55907) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2022-09-19 |