| NPI | 1932495728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 12619512-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125059449) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 078271) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 078271) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2022-06-01 |