| NPI | 1730157058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 29701) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 29701) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 204555) | |
| Enumeration Date | 2006-03-11 |
| Last Update Date | 2017-10-10 |