| NPI | 1457630675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 16051) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-9696) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2017-02-01 |