| NPI | 1881619989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TN 25604) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 25604) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-02-24 |