| NPI | 1265475420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 8045A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 23268) |
| 207V00000X Obstetrics & Gynecology (Licence: SD 5879) | |
| 207V00000X Obstetrics & Gynecology (Licence: MN 50790) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2017-01-04 |