| NPI | 1912075847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2003-0781) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J4263) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-02-29 |