| NPI | 1922054550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 11310) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 33235) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2015-03-25 |