| NPI | 1811964109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 50345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 19777) |
| Enumeration Date | 2006-03-05 |
| Last Update Date | 2019-10-10 |