| NPI | 1740471598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 200363) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 20924) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2015-04-21 |