| NPI | 1205068723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2015-01283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 069572) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2023-04-17 |