| NPI | 1326221409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A122180) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 41901) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2014-01-02 |