| NPI | 1588860894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 26028) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 25700) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2015-06-30 |