| NPI | 1992792857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA IMLC.MD.61652289) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 17179) |
| 207V00000X Obstetrics & Gynecology (Licence: GA 93977) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2025-02-27 |