| NPI | 1578709499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 14374) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 70252) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2021-10-22 |