| NPI | 1891896965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0056245) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 36613-020) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-12-08 |