| NPI | 1407833528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 50248) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 32045) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2013-02-20 |