| NPI | 1659717924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 52883) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R73815) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2019-05-14 |