| NPI | 1265878631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0058836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10046469) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2021-05-19 |