| NPI | 1093336406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 92106) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-013395) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2024-07-16 |