| NPI | 1134563422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 202003938) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-03938) |
| 208D00000X General Practice (Licence: NE 28127) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2025-05-09 |