| NPI | 1801882782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 54781) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 35426) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-10-08 |