| NPI | 1912019696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 016857) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 028606) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-02-05 |