| NPI | 1770702177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A113346) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 29794) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-08-21 |