| NPI | 1972898096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 74392-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 52543) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2022-10-07 |