| NPI | 1477521490 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 2139) | 
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WI 2139) | 
| Enumeration Date | 2006-03-08 | 
| Last Update Date | 2018-02-20 |