| NPI | 1669567038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 83696) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL39804) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-07-29 |