| NPI | 1558666362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 202000517) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-00517) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2023-01-12 |