| NPI | 1801183348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 78599) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116023764) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-03-17 |