| NPI | 1386269470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-02505) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL84540) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2024-09-03 |