| NPI | 1568402337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC TL30791) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 18138) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-05-03 |