| NPI | 1528264868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 50104) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM RS20070429) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2021-06-14 |