| NPI | 1851582514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101247108) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT188485) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-08-30 |