| NPI | 1619941135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 97-01455) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 9701455) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2022-05-19 |