| NPI | 1063442788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 258101) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00046644) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-07-06 |