| NPI | 1568648756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KS 04-36697) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301096149) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2014-10-15 |