| NPI | 1396714697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 21573) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD202513) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-10-03 |