| NPI | 1831139765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200201232) |
| Additional Taxonomies | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: OR MD204855) |
| 207V00000X Obstetrics & Gynecology (Licence: NH 19792) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-05-12 |