| NPI | 1235484957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 4675) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q8501) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125061866) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-05-04 |