| NPI | 1508904079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2005-00376) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-054359) |
| 207V00000X Obstetrics & Gynecology (Licence: MO R6686) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.090624) | |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2015-01-22 |