| NPI | 1386801728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 60393) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 81347) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2016-12-05 |