| NPI | 1578558896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G89255) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 18235) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2015-05-11 |