| NPI | 1407944457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7583334-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 30914) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-03-16 |