| NPI | 1922060383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 274866) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 024048) |
| 207Q00000X Family Medicine (Licence: LA 024048) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-11-13 |