| 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 |