| NPI | 1588952220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2019027045) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-35966) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2021-07-19 |