| NPI | 1548203748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G071574) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 50309) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 06221) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA g71574) | |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101266425) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 274956) | |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2015-0941) | |
| 208D00000X General Practice (Licence: CT 06221) | |
| 208D00000X General Practice (Licence: NY 274956) | |
| 208D00000X General Practice (Licence: PA MD461619) | |
| 208D00000X General Practice (Licence: VA 0101266425) | |
| 208D00000X General Practice (Licence: TX R0309) | |
| 208D00000X General Practice (Licence: AZ 49440) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2025-04-21 |