| NPI | 1265587224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 40631) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 40631) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-02-01 |