| NPI | 1578942561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-00784) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL37634) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2019-06-24 |