| NPI | 1083858682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 054416) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 69687) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2015-08-31 |