| NPI | 1194732289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200200854) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200200854) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-08-29 |