| NPI | 1497773154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 233941) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48852) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-09-18 |