| NPI | 1770964272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 62035) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA R-10343) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-03-10 |