| NPI | 1609300888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2024011192) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 288349) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-05-23 |