| NPI | 1124445689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0062490) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 79969) |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2020-07-16 |