| NPI | 1568844702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-01603) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 38544) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-09-08 |