| NPI | 1598928376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 41994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 5861) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-07-08 |