| NPI | 1700813599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 21126) |
| Additional Taxonomies | 174400000X Specialist (Licence: AL 21126) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-09-10 |