| NPI | 1801094677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS11839) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25mb08188500) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-04-22 |