| NPI | 1508020850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 205321) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS T2072) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2013-06-04 |