| NPI | 1801885330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 44152) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 11675A) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2018-0784) | |
| 207V00000X Obstetrics & Gynecology (Licence: NV 18253) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-11-25 |