| NPI | 1053452904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD151020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 2004-0445) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-03-12 |