| NPI | 1184916959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD207857) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A136153) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT199124) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-07-08 |