| NPI | 1558659144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101260851) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R72602) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 50034) | |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2023-11-29 |