| NPI | 1720584279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 65484) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 33915) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-08-23 |