| NPI | 1124264049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A120066) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 70163) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2022-02-11 |