| NPI | 1235519240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 83736) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-50140) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME71212) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN 0000071080) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-01-16 |