| NPI | 1861553695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 039372) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 45099) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-09-11 |