| NPI | 1720215056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA 60353599) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD162117) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2024-02-13 |