| NPI | 1669993598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A173006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 33357) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2023-04-27 |