| NPI | 1043296882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G56252) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI 6198) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2016-02-16 |