| NPI | 1144669995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 304911) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2013018111) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2017-06-08 |