| NPI | 1114016508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD17674) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OR MD17674) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OR MD17674) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2012-01-10 |