| NPI | 1679570576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 33041) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 4578) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2022-10-18 |