| NPI | 1487035721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR.68768) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D87504) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-10-21 |