| NPI | 1598451858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1013665) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 3013748) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-11-14 |