| NPI | 1861533713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 47530) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM 2005-0268) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-06-11 |