| NPI | 1508839945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0007477) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MN 35248) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2016-04-29 |