| NPI | 1588659908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 55417) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 055417) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2019-10-30 |