| NPI | 1528187556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 29737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 116730) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-12-28 |