| NPI | 1720093123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G22870) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI 12880) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |