| NPI | 1295866374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 24096) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 4809) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2015-06-23 |