| NPI | 1710099429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 53017) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD0000036799) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-09-02 |