| NPI | 1730678533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 69902) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R76727) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2023-09-12 |