| NPI | 1639580996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-00766) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 201080) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2024-01-26 |