| NPI | 1124031687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 4301068012) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301068012) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-10-22 |