| NPI | 1922149525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2007012294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 23604) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-11-16 |