| NPI | 1659799914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-48789) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 69068) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-09-16 |