| NPI | 1174525091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME102875) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD189072) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD61550112) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036090783) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2026-08-05 |