| NPI | 1104931799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 38843) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0038843) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-05-13 |