| NPI | 1750558656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 050869) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101249724) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2013-01-28 |