| NPI | 1780615682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME78733) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48178) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD00044500) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX L1672) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD26045) | |
| 207V00000X Obstetrics & Gynecology (Licence: NH 12270) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD421187) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-01-12 |