| NPI | 1063487999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 042362) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 042193) |
| 174400000X Specialist (Licence: PA MD431754) | |
| 174400000X Specialist (Licence: NY 238086-1) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC 33386) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2008-00751) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 42362) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2025-03-21 |