| NPI | 1710953567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 15984) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 33837) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-08 |