| NPI | 1194285759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 26887) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 11901394-1205) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-08-01 |