| NPI | 1972638294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 49111) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 19448) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-08-26 |