| NPI | 1699760108 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD036683)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101235048)  | 
| Enumeration Date | 2005-09-12 | 
| Last Update Date | 2017-01-18 |