| NPI | 1467772749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 65327-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0012846) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-08-01 |