| NPI | 1831579085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0059471) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO CDRH.0059471) |
| 207V00000X Obstetrics & Gynecology (Licence: DE C2-0024269) | |
| 207V00000X Obstetrics & Gynecology (Licence: ID O-1818) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2025-05-09 |