| NPI | 1528058856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 204397) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MA 204397) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |