| NPI | 1154434074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME72735) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL me72735) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-09-19 |