| NPI | 1881896132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101243053) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301083719) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0067089) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-10-29 |