| NPI | 1588839435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 68464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 81646) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2019-09-30 |