| NPI | 1619968872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301043787) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301043787) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301043787) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-02-14 |