| NPI | 1538443411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 66951) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS016383) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2022-03-25 |