| NPI | 1144257072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO CDR.0007166) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI ND407280) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2026-07-21 |