| NPI | 1669580064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C139269) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 024867) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2018-09-10 |