| NPI | 1710244926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101260839) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0082061) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2022-01-05 |