| NPI | 1336310515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A112924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 238705) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2018-03-17 |