| NPI | 1700379294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 1019162) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 276138) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-10-07 |