| NPI | 1831451061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR 192885) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 49412) |
| 207V00000X Obstetrics & Gynecology (Licence: NV 15432) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA A119369) | |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2022-02-04 |