| NPI | 1205053758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2009023901) |
| Additional Taxonomies | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: MI 4301086477) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-02-27 |