| NPI | 1205418894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 257970) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 30065) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0071954) | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2026-08-05 |