| NPI | 1861470411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 45936) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 21259) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2021-06-11 |