| NPI | 1356452452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 15405) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 15405) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-28 |