| NPI | 1104895481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO 39575) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM MD2019-0950) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-10-27 |