| NPI | 1821415860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A169656) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD463929) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-05-21 |