| NPI | 1689608036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101239904) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC 036110) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-09-21 |