| NPI | 1619042801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9800963) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101041707) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-11-29 |