| NPI | 1598862690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-01003) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 050188) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-05-19 |