| NPI | 1902004583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-00750) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101249268) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-10-25 |