| NPI | 1841382553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101230437) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101230437) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-10-25 |