| NPI | 1508253436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 11265757-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 66548) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2021-12-20 |