| NPI | 1295964716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID 11845) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R71402) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2014-02-06 |