| NPI | 1053635516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2016-00616) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101256429) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2016-08-03 |