| NPI | 1104895481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO CDRH.0039575) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO 39575) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-05-01 |