| NPI | 1477849941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 9591) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 7733) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2016-05-10 |