| NPI | 1861704082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 32635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL32635) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2018-12-04 |