| NPI | 1760403091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL me89729) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME89729) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-02-20 |