| NPI | 1104862648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 50101) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI WI50101) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-11-26 |