| NPI | 1699085050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 463) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NC CNM 463) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2016-01-07 |