| NPI | 1902336803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101272172) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116030515) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-08-09 |