| NPI | 1871793612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 55212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN11110) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2014-01-22 |