| NPI | 1891718870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 69616) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME105923) |
| 207V00000X Obstetrics & Gynecology (Licence: SC LL29196) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-12-01 |