| NPI | 1770714941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A134957) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT194114) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 260844-1) | |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-12-06 |