| NPI | 1891990917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME105843) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 64910-20) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2023-06-08 |