| NPI | 1912935818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 051574) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 27835) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-07-11 |