| NPI | 1265760508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 33528) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME 124471) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2018-07-11 |