| NPI | 1609023308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101252213) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0080792) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2009-01415) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-07-21 |