| NPI | 1477864114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0013240) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011020301) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2015-09-11 |