| NPI | 1780758953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-00763) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 0055195) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-07-07 |