| NPI | 1386919587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 77834) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0056706) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2019-03-12 |