| NPI | 1982683918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 25147) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 43337) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2013-11-20 |