| NPI | 1790946200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 0051635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR51835) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2018-12-10 |