| NPI | 1760772859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0072466) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD20150176) |
| 207V00000X Obstetrics & Gynecology (Licence: TX 20180142) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-04-02 |