| NPI | 1922441930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101272644) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 135150) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2021-09-03 |