| NPI | 1730449430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 49585) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 49585) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2021-03-16 |