| NPI | 1912392796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101275622) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 209589) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2022-07-05 |