| NPI | 1497712418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 033257) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 47602) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 23838) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL 67579) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC 31535) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2009-10-19 |