| NPI | 1235497587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0067950) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 1165) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2022-07-19 |