| NPI | 1447442520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 50010) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 20170) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2021-06-03 |