| NPI | 1205154366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 007519) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 0053555) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2023-01-20 |