| NPI | 1649208059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ R73420) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7704) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-02-02 |