| NPI | 1861873051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101266881) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN# 21915) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-03-11 |