| NPI | 1851636369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 70480-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10042987) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2021-01-15 |