| NPI | 1912939042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: KY 44130) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME89445) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-05-11 |