| NPI | 1508326018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: HI 1934) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-10926) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |