| NPI | 1083820948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MT 7069) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MI 4301081078) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME82535) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2011-04-19 |