| NPI | 1487827366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 51093) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO training licence) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2014-09-16 |