| NPI | 1720039936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C55562) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D64402) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD20080671) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0064402) | |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35095223) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2012-11-13 |