| NPI | 1003468935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 23312) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 34137-R) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2024-08-22 |