| NPI | 1730111238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200501059) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC BW8739306) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-06-30 |