| NPI | 1710131305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 25791) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A104060) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 50575) | |
| 207V00000X Obstetrics & Gynecology (Licence: KY 47814) | |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2017-01-17 |