| NPI | 1205175643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 83206) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH LT4244) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2021-02491) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2022-10-03 |