| NPI | 1487787420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE #C1-0010599) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE Training C7-0003563) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-08-31 |