| NPI | 1932320702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 059003) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 218349) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-10-14 |