| NPI | 1841510104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 19647) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 9625A) |
| 207V00000X Obstetrics & Gynecology (Licence: MT 76433) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2023-08-10 |