| NPI | 1598149262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 15743) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 7476) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-09-18 |