| NPI | 1811902638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2008023312) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 4009) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-01-18 |