| NPI | 1912388638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 7434) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 71587-20) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-06-09 |