| NPI | 1518970896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101057711) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VA 0101057711) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-02-23 |