| NPI | 1558540062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101246934) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 134280) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2022-08-18 |