| NPI | 1578561635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.090618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 042382) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC MD036913) | |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2011-11-17 |