| NPI | 1205900461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 24125) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO CO 44981) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-08-21 |