| NPI | 1679863682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CO DR.0057646) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-38260) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0057646) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-06-19 |