| NPI | 1760987499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A179119) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 11414320-1205) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2022-07-26 |