| NPI | 1225292220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-11651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 5859) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2012-07-24 |