| NPI | 1154428415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 22526) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2024-0299) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-04-12 |