| NPI | 1700842192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD27101) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 36103) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2024-08-15 |