| NPI | 1578546602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 200300151) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200300151) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2010-06-29 |