| NPI | 1639445323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA MD60957759) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0056077) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2024-12-07 |