| NPI | 1790966802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A97222) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-15311) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2022-01-25 |