| NPI | 1184366262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 114640) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101029463) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2026-09-01 |