| NPI | 1831241272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 9300658) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 9300658) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-08-29 |