| NPI | 1316443419 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0068336) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 11414334-1205) | 
| Enumeration Date | 2018-04-05 | 
| Last Update Date | 2022-06-07 |