| NPI | 1215145784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 7269) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 27219) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-08-28 |