| NPI | 1124025655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 183932) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 9700825) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ME MD24630) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2023-07-06 |