| NPI | 1639145550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD SD4843) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 4843) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2012-04-04 |