| NPI | 1104203967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: CO DR.0069060) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0069060) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-08-04 |