| NPI | 1790844256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01987) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101233474) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2014-02-11 |