| NPI | 1043536394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 71890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 4612) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2014-08-02 |