| NPI | 1790185866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A156328) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D83908) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2020-08-12 |