| NPI | 1831456847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 57820) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 54371) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2022-07-21 |