| NPI | 1346688199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A147161) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT204105) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-11-10 |