| NPI | 1083869572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 027047) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 027047) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |