| NPI | 1053416487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 16313) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 21408) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2015-07-01 |