| NPI | 1821302175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101264831) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096856) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD452297) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2021-12-06 |