| NPI | 1033174016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 48982) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 1365-TEP) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-11-29 |