| NPI | 1164578795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A126260) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 7572249-1205) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-07-17 |