| NPI | 1619167012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 203399) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA PGY.LSUN.OB/GYN) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2013-06-04 |