| NPI | 1417002635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A75842) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 36706) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-08-17 |