| NPI | 1710446661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO dr.0067756) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO dr0067756) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-09-13 |