| NPI | 1720336357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-00890) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NC 2014-00890) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-09-14 |