| NPI | 1174935035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60838564) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R74320) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-03-18 |