| NPI | 1396799250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 30505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 30505) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2016-09-28 |