| NPI | 1053708602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A174839) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 278552) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-12-12 |