| NPI | 1639596117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274785) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 28819) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2022-10-13 |