| NPI | 1154680072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61579510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M-13244) |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2024-12-23 |