| NPI | 1538254206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 76521) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME94801) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 235690) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-01-31 |