| NPI | 1184915753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2015014688) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011019206) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2021-02-25 |