| NPI | 1962510016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 5672616-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 56726168905) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2009-02-19 |