| NPI | 1114135423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 7374) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 971869) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 971869) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-09-14 |