| NPI | 1972563088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.023024) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 023024) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-08-10 |