| NPI | 1689849523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7256620-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 81764) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-06-08 |