| NPI | 1699876292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101102474) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101102474) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-06-21 |