| NPI | 1245202001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 27873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101234052) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2014-07-31 |