| NPI | 1073539698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX L3810) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX L3810) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2016-09-08 |