| NPI | 1487608030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS11159) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102201746) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2012-07-23 |