| NPI | 1003021064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 67565) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 7652A) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CT 67565) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2022-12-19 |