| NPI | 1699268003 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 52614) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL52614) | 
| Enumeration Date | 2018-06-11 | 
| Last Update Date | 2022-09-06 |