| NPI | 1114314622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD469642) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD23678) |
| 207V00000X Obstetrics & Gynecology (Licence: TX BP10053067) | |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2025-04-29 |