| NPI | 1679890354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 269826-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0058421) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2022-09-14 |