| NPI | 1114216744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-00617) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 2742) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2025-12-05 |