| NPI | 1073585667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SD 5435) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 47565) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-10-31 |