| NPI | 1205845237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A 6915) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 39874) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2022-05-09 |