| NPI | 1306146451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 68407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN14341) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME108694) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2013-07-01 |