| NPI | 1336225952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: LA 017688) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA MD.017688) |
| 207V00000X Obstetrics & Gynecology (Licence: LA 017688) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-10-22 |