| NPI | 1538267356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 014579) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 041579) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-02-17 |