| NPI | 1932496023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 78502) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD454085) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301099371) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2021-03-29 |