| NPI | 1700934593 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 36891)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A86679)  | 
| Enumeration Date | 2007-01-08 | 
| Last Update Date | 2014-02-14 |