| NPI | 1831681626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2022010838) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018018365) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-06-21 |