| NPI | 1871785196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 80867) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101247014) |
| 207V00000X Obstetrics & Gynecology (Licence: TX m6960) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2020-11-20 |