| NPI | 1720224967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-02468) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NC 2022-02468) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2024-07-15 |