| NPI | 1952612376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203744) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116022580) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2014-05-06 |