| NPI | 1154716876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-77008) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 77008) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2026-08-10 |