| NPI | 1801006168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.124155) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME109634) |
| 207V00000X Obstetrics & Gynecology (Licence: IA R-7573) | |
| 207V00000X Obstetrics & Gynecology (Licence: WI 53368-20) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-11-06 |