| NPI | 1760642003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC 144080) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116017405) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |