| NPI | 1750520201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 10757475-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 056880546) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2024-11-11 |