| NPI | 1477995454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 11150A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID MC-1555) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2022-10-19 |