| NPI | 1811342181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M15807) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-10825) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2021-08-31 |