| NPI | 1972673325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 47710-020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090809) |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD041839) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-09-19 |