| NPI | 1972778942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME160588) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX Q5685) |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD039930) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2024-01-05 |