| NPI | 1285604702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA c143625) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 200301268) |
| 171000000X Military Health Care Provider (Licence: NC 200301268) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 200301268) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01053687A) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-09-17 |