| NPI | 1083845788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 71454) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT013096) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2014-08-04 |