| NPI | 1851489793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101240053) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 55871) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0072598) | |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 60147) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-06-17 |