| NPI | 1174524060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT 7638) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 7638) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2016-06-09 |