| NPI | 1003018243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 39029) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-7815) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2012-05-17 |