| NPI | 1558548164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 062322) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 001365) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2009-05-13 |