| NPI | 1871751057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 204145) |
| Additional Taxonomies | 208D00000X General Practice (Licence: LA 204145) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 204145) | |
| Enumeration Date | 2008-05-24 |
| Last Update Date | 2023-05-10 |