| NPI | 1629051966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 47374) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 47492) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2019-10-15 |