| NPI | 1548755788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0015941) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL52545) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-10-10 |