| NPI | 1215082276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 33201) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 33201) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-01-24 |