| NPI | 1144354473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 203462) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01137) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 40544) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2019-01-24 |