| NPI | 1871783704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 11361) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 81289) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2013-03-22 |