| NPI | 1417360157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 310423) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN20049) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2018-10-04 |