| NPI | 1811085970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 4919) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 44099) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-01-08 |