| NPI | 1194988501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 55352) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008016201) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-01-31 |