| NPI | 1861454977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 73084) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 27805) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2023-03-07 |