| NPI | 1861849572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 145222) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 008230) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-07-16 |