| NPI | 1629509062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101284079) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT222933) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-10-22 |