| NPI | 1013470467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR DO215206) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID 3771585) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-12-15 |