| NPI | 1336409549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A163973) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD P27653) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-08-01 |