| NPI | 1497739411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 303687) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 156456) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2017-01-05 |