| NPI | 1427060458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 53905) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 28948) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2012-11-02 |