| NPI | 1154549335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OK 19080) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OK 19080) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |