| NPI | 1073165304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2023-00617) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2023-00617) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-08-10 |