| NPI | 1730761297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD600004431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351047925) |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2026-02-04 |