| NPI | 1669462149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-10122) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 31911) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-07-19 |