| NPI | 1891715504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 36096) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 30312) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 231614) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME116094) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2017-12-21 |