| NPI | 1972576353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2019019988) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO R7P74) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2019-09-24 |