| NPI | 1780814293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0014269) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD162987) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301094691) | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2019-04-29 |