| NPI | 1104322924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2025-03390) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 1018158) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-09-25 |