| NPI | 1033348487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 47651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA Not yet issued) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2015-09-18 |