| NPI | 1013143809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 41121) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-8690) |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2013-08-07 |