| NPI | 1902139330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 88138) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD461362) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2022-09-24 |