| NPI | 1265422653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301063766) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI SV063766) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2015-09-01 |