| NPI | 1811285612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258187) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT200105) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2023-03-03 |