| NPI | 1952531410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 26679) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI L1561283) |
| 207V00000X Obstetrics & Gynecology (Licence: WY 19058A) | |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2025-11-04 |