| NPI | 1013233105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0062392) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.207295) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 65969) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2019-08-16 |