| NPI | 1366671752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 70083) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL DO1180) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2014-04-09 |