| NPI | 1467457747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 27778) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: AZ 27778) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2011-01-20 |