| NPI | 1699725242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 66251) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200201550) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-08-09 |