| NPI | 1063975605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0019209) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 73846) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 341733) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2026-08-05 |