| NPI | 1164955407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME161977) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD210001941) |
| 207V00000X Obstetrics & Gynecology (Licence: WA T4559) | |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2024-03-27 |