| NPI | 1881649390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101016699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016699) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2018-03-17 |