| NPI | 1205083060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD47943) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2010-01108) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2012-01-05 |