| NPI | 1730202664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60524111) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA RTP000489) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2021-04-07 |