| NPI | 1386747244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 37973) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2022-0101) |
| 207V00000X Obstetrics & Gynecology (Licence: NV 21826) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2022-09-14 |