| NPI | 1609939990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 30644) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN7954) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2021-02-03 |