| NPI | 1215967096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 025720) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.025720) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-08-19 |