| NPI | 1518247626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-02349) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 262524) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2020-04-15 |