| NPI | 1790048494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021018187) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 64982-21) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036-139430) | |
| 207V00000X Obstetrics & Gynecology (Licence: KS 94-07953) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-12-01 |