| NPI | 1710996772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 17185) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 26582) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-07-21 |