| NPI | 1215597778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0075805) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2023012379) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-09-24 |