| NPI | 1588690390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO28089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO AA4833390) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-11-27 |