| NPI | 1639480072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 22228) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R72249) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A131572) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2022-08-09 |