| NPI | 1679868517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 7455) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 011779) |
| 207V00000X Obstetrics & Gynecology (Licence: AL DO2005) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2023-06-06 |