| NPI | 1861854259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 31815) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NE 7419) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-07-17 |