| NPI | 1710175120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 11764) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6029512-1205) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2022-02-24 |