| NPI | 1508120247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 04723) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 110662) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101019746) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-07-08 |