| NPI | 1588292999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD219440) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 70165) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 30914) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-06-27 |