| NPI | 1740333079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 11680) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ND PT11680) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 49393) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-03-25 |