| NPI | 1578744199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 60082291) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6027394-1205) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 40270) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2010-01-05 |