| NPI | 1669447280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 049481) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 43352) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-02-22 |