| NPI | 1962442285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 10500R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 10500R) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-06-04 |