| NPI | 1760041024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO Dr.0069026) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 94-09947) |
| 207V00000X Obstetrics & Gynecology (Licence: CO Dr.0069026) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2024-10-28 |