| NPI | 1952577397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TX P4045) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A112636) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2014-10-09 |