| NPI | 1144241670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 247841) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 9954) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2012-07-11 |