| NPI | 1902980196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2009-00533) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 24878) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2021-05-26 |