| NPI | 1962664730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO 2011003938) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011003938) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2018-01-24 |