| NPI | 1891047056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 19526) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 14783) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2017-02-20 |