| NPI | 1811105505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 64381) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 28538) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2011-10-25 |