| NPI | 1932304839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 47645) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME106982) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2021-01-26 |