| NPI | 1891789905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 33130) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY 46506) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2024-08-21 |