| NPI | 1407997356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 6601) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 2006-0752) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-12-02 |