| NPI | 1346345592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR.0056503) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 2006-0107) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-12-02 |