| NPI | 1386106276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 31374) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 338286) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-02-08 |