| NPI | 1780105080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 41073) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL41073) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2021-10-25 |