| NPI | 1912160359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248851) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0025339) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D79102) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-12-21 |