| NPI | 1003956004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 14455) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 14455) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-08-19 |