| NPI | 1043703275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 22746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 33535R) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-11-15 |