| NPI | 1578581195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 37437) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 14389C) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2022-06-15 |