| NPI | 1285096933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021009709) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 67937-20) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 32459) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-10-06 |