| NPI | 1881648111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200200969) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2002-00969) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-12-15 |