| NPI | 1396954871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0011605) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 231136) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VT 0420011605) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-12-04 |