| NPI | 1982602033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 29320) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 29320) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2025-08-29 |