| NPI | 1477795268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 048419) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 48419) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2019-01-28 |