| NPI | 1649367178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD22222) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD22222) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-01-24 |