| NPI | 1457359580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TX G2623) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G2623) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-08-30 |