| NPI | 1104962059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME60150) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME60150) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-12-20 |