| NPI | 1467673186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-00615) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2008-00615) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-07-02 |