| NPI | 1013939578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 46731) |
| Additional Taxonomies | 174400000X Specialist (Licence: MN 30507) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-08-03 |