| NPI | 1578903571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0058565) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301103069) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2022-07-21 |