| NPI | 1972896272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 52722) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R72672) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2019-07-18 |