| NPI | 1912082595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 28916) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL28916) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-10-30 |