| NPI | 1508121948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC LL1572) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS14223) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2021-07-19 |