| NPI | 1538696158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 49449) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 33995) |
| Enumeration Date | 2017-05-13 |
| Last Update Date | 2022-03-14 |