| NPI | 1912389156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 161945) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R76107) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2021-06-29 |