| NPI | 1265698690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 57485) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60215747) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2012-08-10 |