| NPI | 1851502926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL FLOS10308) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 5101016111) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-06-21 |