| NPI | 1245430263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 50048) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL30093) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2017-03-08 |