| NPI | 1497231567 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 21021) | 
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 21021) | 
| Enumeration Date | 2018-07-12 | 
| Last Update Date | 2025-05-18 |