| NPI | 1003161324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0061397) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60641466) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-05-04 |