| NPI | 1790105609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0063337) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 293207) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2021-06-23 |