| NPI | 1891787305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VA 0101056302) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101056302) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2022-05-31 |