| NPI | 1720045404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PR 13713) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 31025) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E1027) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-11-29 |