| NPI | 1659335404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 0423858) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0423858) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2024-11-15 |