| NPI | 1750358321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD172553) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 35232) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2016-01-04 |