| NPI | 1528265238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: AL 29558) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 29558) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-08-21 |