| NPI | 1578907929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 60133) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0058839) |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2022-07-21 |