| NPI | 1467406272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME91886) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 247624-1) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 52669) | |
| 207V00000X Obstetrics & Gynecology (Licence: HI 15515) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-11-14 |