| NPI | 1316989122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 49617) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 224595) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-02-25 |