| NPI | 1124315197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 4716) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IA 4716) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-02-07 |