| NPI | 1861405359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD16140) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00029379) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-15 |