| NPI | 1427053651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 33249) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 29227) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2013-10-07 |