| NPI | 1063474856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 065033) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 27558) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2018-10-04 |