| NPI | 1972635498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G87624) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 4806) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2013-03-07 |