| NPI | 1164488045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO 49697) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 2006-0155) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2013-07-30 |