| NPI | 1194769273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 31388-20) |
| Additional Taxonomies | 174400000X Specialist (Licence: WI 31388) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-12-09 |