| NPI | 1811983901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 30066) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 30066) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-01-28 |