| NPI | 1558658880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME149676) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 50228) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-07-01 |