| NPI | 1730119512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 12614R) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-00397) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-03-01 |