| NPI | 1750376083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WY 6662A) |
| Additional Taxonomies | 174400000X Specialist (Licence: WY 6662A) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2019-06-20 |