| NPI | 1477972750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 62673) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 10875838-1205) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-02-09 |