| NPI | 1730124173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9600366) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 96-00366) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2018-08-16 |