| NPI | 1679569966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME92880) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08218100) |
| 207V00000X Obstetrics & Gynecology (Licence: TX L3487) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2021-03-19 |