| NPI | 1982997284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 10259776-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R72652) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2023-12-12 |