| NPI | 1275787137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 68420-20) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI 14962) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2017-12-15 |