| NPI | 1659558906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD169370) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6851467-1205) |
| 207V00000X Obstetrics & Gynecology (Licence: AK 7116) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2024-01-18 |