| NPI | 1467452383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 99-370139-1204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI DO01389) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2024-10-21 |