| NPI | 1821065038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX K9514) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K9514) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-01-04 |