| NPI | 1457395642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.12573R) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA md1257312) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-11-20 |