| NPI | 1043877301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2023010221) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MO 2023010221) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: MO 2023010221) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-08-16 |