| NPI | 1053393553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 3891) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO25177) |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A8886) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-01-10 |