| NPI | 1861411977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.025477) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 025477) |
| 207V00000X Obstetrics & Gynecology (Licence: MS 21594) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-07-22 |