| NPI | 1306011259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A105164) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD169778) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 41054) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD169778) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2023-04-13 |