| NPI | 1710272323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258295) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101258295) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2022-01-10 |