| NPI | 1932352176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 7465104-1105) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 36112) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2025-04-15 |