| NPI | 1467658302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 55405-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2007017299) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2016-09-15 |