| NPI | 1215324785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-02379) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 35362) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2019-12-12 |