| NPI | 1548216088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101245734) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 43193) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-10-15 |