| NPI | 1194811349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI mdr13799) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR md26060) |
| 207V00000X Obstetrics & Gynecology (Licence: WA md00044771) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-16 |