| NPI | 1508288259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-01205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 88278) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101259177) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2024-12-17 |