| NPI | 1801024021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 130185) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 26093) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2020-01-16 |