| NPI | 1235543224 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MD D0085229)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD P30079)  | 
| Enumeration Date | 2014-06-17 | 
| Last Update Date | 2021-02-11 |