| NPI | 1649620964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2020021412) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2016020367) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-05-20 |