| NPI | 1053530394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-00837) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102202073) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-08-31 |