| NPI | 1194288415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 00646) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 90015) |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2026-01-14 |