| NPI | 1033385224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0102205837) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 0T011682) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2022-12-16 |