| NPI | 1538519533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 90104) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2016020827) |
| 207V00000X Obstetrics & Gynecology (Licence: NV LL3240) | |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-03-16 |