| NPI | 1174685556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD185505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 55845) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 186315-1) | |
| 207V00000X Obstetrics & Gynecology (Licence: CT 033721) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-11-17 |