| NPI | 1386612075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R4A32) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-18560) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |