| NPI | 1730462896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 93319) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 9857) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2022-09-06 |