| NPI | 1467959940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.148169)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD210002138)  | 
| Enumeration Date | 2018-04-10 | 
| Last Update Date | 2023-08-13 |