| NPI | 1700349065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 78161) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0071418) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2025-02-17 |