| NPI | 1215044037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9701594) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 97-01594) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 9701594) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 9701594) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-11-10 |