| NPI | 1063476174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-00773) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 23161) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-06-27 |