| NPI | 1740384379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 025249) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101032332) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0025131) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-06-24 |