| NPI | 1801413042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 36380) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 8912) |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2024-07-17 |