| NPI | 1205095403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NV DO2456) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 46723) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CO DR-46723) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2023-04-20 |