| NPI | 1255346938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 6969) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 006969) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-03-17 |