| NPI | 1497289953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2024-0733) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0015172) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2024-08-05 |