| NPI | 1518228626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 10061) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 6742) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-05-17 |