| NPI | 1609059732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 104282) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 048631) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2025-07-31 |