| NPI | 1285651208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 25356) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME96005) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-01-03 |