| NPI | 1437686284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID 5861367) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 13816A) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-15 |