| NPI | 1417942988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 84830) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 149699) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 85722) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN 38688) | |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2021-06-04 |