| NPI | 1699986885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 48264) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI 14271) |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2022-07-21 |