| NPI | 1154478584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 139317) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 42197) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2025-10-17 |