| NPI | 1184636672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 2633-320) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2013-0007) |
| 207V00000X Obstetrics & Gynecology (Licence: WY 7343A) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2025-08-27 |