| NPI | 1255474359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 24782) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL me77123) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2024-09-11 |