| NPI | 1861711012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-37135) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R72083) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-03-25 |