| NPI | 1679895890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 13063) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS12665) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2023-09-11 |