| NPI | 1790793941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301088766) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088766) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2013-09-30 |