| NPI | 1740205152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 48089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 32593) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2021-06-21 |