| NPI | 1588663884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: AL 00022045) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 22045) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2024-02-02 |