| NPI | 1508165754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A136442) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101276034) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D95253) | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2022-09-13 |