| NPI | 1265436604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 4746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 3356) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2009-07-24 |