| NPI | 1952374936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A79212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 220379) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-07-18 |