| NPI | 1215933478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 39236) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 30706) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-06-05 |