| NPI | 1356927842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 61171344) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0072951) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CO DR.0072951) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2024-06-25 |