| NPI | 1528115318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 203772) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 44837) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2012-09-27 |