| NPI | 1528049640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD18265) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD 18265) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2018-11-07 |