| NPI | 1225015480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: VT 042.0010570) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 42-0010570) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2017-04-05 |