| NPI | 1407110372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PR 19309) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 19309) |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2019-12-10 |