| NPI | 1801107487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2013040818) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TPME5859) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 36.165628) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2010018516) | |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-16866) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2025-08-07 |