| NPI | 1891769543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CO 40085) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 40085) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2011-12-07 |