| NPI | 1487639290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A45912) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA A45912) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CA A45912) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2014-08-21 |