| NPI | 1013001627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 064386) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 31062) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-12-14 |