| NPI | 1356348239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 13916) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 30897) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 15102) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |