| NPI | 1265400766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 17852) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G64535) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 67635) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |