| NPI | 1417269747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A123871) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 71404) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2014-03-27 |