| NPI | 1134113871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200301110) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 21761) |
| 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NC 200301110) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2026-02-02 |