| NPI | 1225167463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 204056) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 135093) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2014-03-31 |