| NPI | 1740573096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0054797) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10039964) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME164591) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2024-05-08 |