| NPI | 1225486806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 307495) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 84875) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 008221) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-07-26 |