| NPI | 1114331014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 95618) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 86161) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-10-10 |