| NPI | 1790701936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 47600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2006-00022) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-03-29 |