| NPI | 1265468730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 056335) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 011322) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-11-18 |