| NPI | 1669661062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0064989) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: AZ 46298) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2020-09-02 |