| NPI | 1619149515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 66905) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 001045) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2020-11-05 |