| NPI | 1508848250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 52005) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD22255) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2012-08-15 |