| NPI | 1801976261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2014028840) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 38154) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-07-12 |