| NPI | 1740470376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101250091) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101250091) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2021-09-10 |