| NPI | 1083872063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101245134) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 046420) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-03-15 |