| NPI | 1083760664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 46694) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 46694) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2019-05-14 |