| NPI | 1023012796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 07340) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 7340) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-08-07 |