| NPI | 1417272147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 57770) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0055684) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2021-03-10 |