| NPI | 1689808123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2013-00887) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 157376) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2022-05-26 |