| NPI | 1578756037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 53341) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ PG Permit #R70306) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 80835) | |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2020-11-10 |