| NPI | 1720421282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A162311) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 278453) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2020-11-11 |