| NPI | 1417912601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 135489) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 44343) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2021-03-10 |