| NPI | 1689827990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD18398) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048423) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2022-08-15 |