| NPI | 1639183155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 514-320) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 37561) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 9401120) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-02-16 |