| NPI | 1821529454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101272089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 64322) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 28444) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2022-10-21 |