| NPI | 1417978404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD0000017231) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 17231) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-06-11 |