| NPI | 1033195375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 16873) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 023094) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2024-06-07 |