| NPI | 1881695054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101244225) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200400359) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-07-02 |