| NPI | 1194164475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR0058576) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ r74095) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-07-21 |