| NPI | 1073753570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 41803) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 14659) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A83243) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2013-07-08 |