| NPI | 1104083922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A122911) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 60054) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2019-12-23 |