| NPI | 1205881059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 55390) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 23226) |
| 207V00000X Obstetrics & Gynecology (Licence: WY A7576) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-11-26 |