| NPI | 1558308296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 51077) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 212432) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN MD41732) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-10-13 |