| NPI | 1720230782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 4500) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 2382) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-10-15 |