| NPI | 1790076917 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 195334) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD048201) | 
| Enumeration Date | 2011-04-21 | 
| Last Update Date | 2022-07-25 |