| NPI | 1619118650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2013-00325) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 55950) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2013-00325) | |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2019-08-26 |