| NPI | 1104860089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME77965) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 47511) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2015-06-26 |