| NPI | 1679993075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 82445) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101264521) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-08-27 |