| NPI | 1962609289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102202854) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017337) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-01-30 |