| NPI | 1710043369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200000759) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2001032204) |
| 207V00000X Obstetrics & Gynecology (Licence: AK 6264) | |
| 207V00000X Obstetrics & Gynecology (Licence: NH LT2646) | |
| 207V00000X Obstetrics & Gynecology (Licence: WI 50048) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-11-12 |