| NPI | 1619104841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO162462) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR D0162462) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2019-06-28 |