| NPI | 1487866745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 47692) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 5101016512) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2022-02-09 |