| NPI | 1215026570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2005-01912) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 30190) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-06-23 |