| NPI | 1568993640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A187388) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD21622) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2024-04-03 |