| NPI | 1922269851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 067816) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL 30810) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2013-08-08 |