| NPI | 1285728758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A37720) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A37720) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |