| NPI | 1144300567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR.0062825) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 44930) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-092024) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX M0650) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-10-21 |