| NPI | 1245255934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IA MD-43345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 28036) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2001005627) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-09-07 |