| NPI | 1336594423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00636) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 63182) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-07-08 |