| NPI | 1912932559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 42873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2004-01023) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-05-15 |