| NPI | 1417905753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME109743) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M-9067) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD423486) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2016-10-16 |