| NPI | 1205800570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 7424) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 106807) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-03-25 |