| NPI | 1578564415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD26356) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 28773) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2015-11-02 |