| NPI | 1699842062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS10467) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101014886) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-01-14 |