| NPI | 1851363592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 29958-020) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 29958) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-09-08 |