| NPI | 1558490581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 35611) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 35611) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ AZ35611) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-01-16 |