| NPI | 1669783429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2014018780) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2010018509) |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2015-01-06 |