| NPI | 1619602018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0136000365) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0136000365) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |