| NPI | 1043669823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 73976) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 284203) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD492367) | |
| Enumeration Date | 2016-06-12 |
| Last Update Date | 2025-12-22 |