| NPI | 1124053384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: GA 039143) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 039143) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: GA 039143) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-03-28 |