| NPI | 1790960847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: GA 065578) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 002669) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2014-09-02 |