| NPI | 1164694089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 065643) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 879908) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2017-10-31 |