| NPI | 1912080896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 82286058017) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 6645) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-10-02 |