| NPI | 1649223728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2011035210) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 3559) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 410) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-02-08 |